NPI | 1023490901 |
---|---|
Former Name | HALEIGH WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 7590) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 1668) |
Enumeration Date | 2015-06-26 |
Last Update Date | 2023-06-20 |